Provider Demographics
NPI:1083409072
Name:KOBRICK, JOY N
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:N
Last Name:KOBRICK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 DATE AVE
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-6415
Mailing Address - Country:US
Mailing Address - Phone:619-339-8556
Mailing Address - Fax:
Practice Address - Street 1:4430 DATE AVE
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-6415
Practice Address - Country:US
Practice Address - Phone:619-339-8556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula